Symplur is a healthcare social media analytics company that promotes deeper understanding of healthcare by strengthening the voices of those who need to be heard with insights from the Healthcare Social Graph®

Thato @thatoaleta@physiotalk#physiotalk , time is the leading factor , a lot of patients I work with always complain about finding time to actually squeeze in abit of active lifestyle in their routines

Jane Clarke @janeclarkeyRealising that activity is beneficial in soooo many ways and then creating a new lasting habit that can stand seasonal changes can be tough #physiotalk

Hannah Ensor @stickmancrips@physiotalk A1 As a patient w long term condition, sometimes it's unrealistic/far off examples of 'active lifestyles' Exercise you are capable is much more fun and motivating than exercise you may possibly be capable of in 5 years time! #physiotalk

Fit-tastic 🐝 @fit_tastic#physiotalk Colette here in Manchester. Will have to disappear part way through to drive home!!

Emma Garratt @Em_Garratt@physiotalk Time, money, access...difficulty prioritising in our busy lives and often focusing on making big unsustainable changes rather than trying the smaller more manageable ones #physiotalk

Aideen Larmer @AideenPhysioI've been thinking a lot about this recently; I was labelled as 'sporty' when I started secondary school - despite having very little natural flair for it, but I lived up to that label the whole way through school. I think you need to identify with physical activity #physiotalkhttps://t.co/9HxJFGxc8w

physiotalk @physiotalkA reminder (as I forgot at the start) to all include the hashtag #physiotalk in your tweets tonight
Thank you!

Helen Caldwell @caldwell_pt@physiotalk I agree with some of the others; history of being active, school experiences, familial experiences all play a part in a negative mindset towards activity #physiotalk

Hannah Ensor @stickmancrips@GiseleParnell@physiotalk Actually, 'chair based exercise' being aimed at elderly is a big issue for us mobility-restricted youngsters looking to be more active! We can be accidentally excluded because we are in a minority ;) #physiotalk

Emma Garratt @Em_Garratt@AideenPhysio I think education and routine at a young age is a big factor...if being active is part of your life growing up surely you are more likely to incorporate it into your everyday routines as you age? #physiotalk

Corinne Birch @PhysioCorinneI agree with Helen that it is multifactorial and different for every individual. Our task is to discover the barriers to being active and help people to overcome them #physiotalk

Heather chesshire @Heatherchesshi1#physiotalk. Heather here 🙋 And new to tweet deck. Also do people want to change?! Exploring motivation to change

Tim Powell @tim_powell#PhysioTalk I think the medical profession has take some historical blame - advice of running ‘wears joints out’ - rest if it hurts - I could go on

Hayley Jennings @haylesj@physiotalk Misconception that an ‘active lifestyle’ means engaging in a formal activity that is perhaps costly (time & money). And ?fear of the unknown esp. in terms of own ability #physiotalk

James Armstrong @PhysioArmstrong@physiotalk Be in the know on what is about there and in the locality. Then listen to them, properly listen and then think of other activities that aren't necessarily ones they would consider "exercise". #physiotalk

Distinct Physio @distinctphysio@Katy_Lyne2@physiotalk This is interesting! I was a semi professional gymnast and then danced after. By the time I had finished dancing I didn’t want to do anymore exercise and I didn’t for about four years. I wouldn’t commit to anything!
#PhysioTalk

Fit-tastic 🐝 @fit_tasticI spend a long time trying different things with them. Things that might not have tried like hula hooping or use scooter boards a lot with children #physiotalk

Jane Mitchell @Janeomit@physiotalk I try to encourage movement or additional activity within the activities of daily living rather than give exercises as such for example if watching tv get up and walk across the room or on the spot during ad breaks. It soon adds up #physiotalk

AjinJThomas @ajinjt@physiotalk Incorporate minimal or moderate activity into their routine. Get others to join in their programme. Get kids involved. Improve the activity as their exercise levels or interest improves. #physiotalk

Tim Powell @tim_powellIronically I think it is something we have lost our way with in MSK - people are prescribed either over complicated exercises or ‘over’ dosed - get a flair up in pain and reinforces negative belief in exercise #PhysioTalk

Felicity Begley @felicity_begley#physiotalk take the time to get to know the patient and advise them on what activities (modified if needed) may work for them. Start small

Helen Robson @HelenRobson19@physiotalk Personally I try to tap into things they enjoy and try to get them to increase those to start with e.g gardening , walking the dog . Or encourage them to exercise with a friend , but the key is getting them to own the change themselves so they are in control #physiotalk

Jane Clarke @janeclarkeyOften the activity itself may not be fun but the reason for the activity is the fun bit, so historical walk, photography are all great ways to help people to be active.
We need to help people break down the preconception that activity is exercise they are different1 #PhysioTalk

Hannah Ensor @stickmancrips@physiotalk Find things within current capability. e.g. Fellow hypermobile, hated exercise - left them exhausted and injured. Then discovered electric powered bike - Fell in love with exericse cos left with 'exercise endorphins' but no killer fatigue/injuries for 1st time ever. #physiotalk

Helen Harte @Hartey_PT#Physiotalk Q2
Engage in an honest discussion about what is acceptable and realistic for the person. No point pushing unachievable goals written by physio

Felicity Begley @felicity_begley@PhysioArmstrong@physiotalk What’s hard is when funded services are there one minute and gone the next. Bit of a postcode lottery of activities available. Therefore I try and give a range of options eg activities that can be done on own or in groups. #physiotalk

Thato @thatoaleta@physiotalk I was also taught that health education really helps , educating the patient about importance of exercise and benefits of exercise can also have a positive effect #physiotalk

Jane Mitchell @JaneomitIt took me ages to persuade my mum to try Zumba gold as I knew she would love it. Now she goes every week and has got other friends to go. I see the difference in her strength balance and mobility. Just takes a bit of courage #physiotalk

Ian Tyrrell @IanTyrrell5@ajinjt@physiotalk Talking about elderly patients here where family are key! Often they are the ones that can convince doing some basic exercise. Must stress I work with the elderly so not for every patient group. #physiotalk

Fit-tastic 🐝 @fit_tasticWe’ve delivered a PA and mental health project in peoples homes and that helped people address some of the barriers like going out to a class, cost etc #physiotalk

Distinct Physio @distinctphysio@physiotalk I try to take a broad view. Some of our patients come to us at fairly low points in their lives and physio can be a reset. Introducing exercise and activity can be the start of ‘achievement’ and ‘success’. I still think that goal setting is key..an objective! #physiotalk

Sibyl Edward @pasl_ptQ2. Have realized including what patients like and using outdoors (when you in a tropical country like me :) ) then that can assist. #physiotalk

Emma Garratt @Em_Garratt@physiotalk Proper patient goal setting can help - don’t suggest ideas, wait for them to identify what is meaningful to them and then build on it. Tap into previously loved hobbies or activities and emphasise that small changes are as good as large ones #physiotalk

Christie Robinson @christiephysio@physiotalk#physiotalk be aware of the wider issues at play and don't forget activity isn't only a physio role... Often wider MDT involvement required to be truly successful and sustainable.

Distinct Physio @distinctphysio@physiotalk Discussing ‘fear’ about exercise is also important. Where do those fears come from? I have attended the gym with my patients just so that they don’t feel awkward setting up machines or carrying out an independent programme #physiotalk

Jane Mitchell @JaneomitI think well educated fit pros can help. We have some great seated ex classes locally where they do amazing activity full of fun with a cuppa and chat after. There needs to be more as it helps reduce social isolation too #physiotalk

Christie Robinson @christiephysioRT @AideenPhysio: Reducing fear around exercise - take away message that any fears/worries they have about getting active are FAR outweighe…

Hannah Ensor @stickmancrips@distinctphysio@physiotalk I agree. Some fear may be well founded, but also simply addressed (e.g. hEDS and fear of "what if I dislocate" - have a dislocation plan, choose exercises carefully and teach pt when to stop. (i.e. not get so fatigued that dislocation risk massivley increases) #physiotalk

MindyCSP @CspMindy@physiotalk@Em_Garratt My stepmum was suffering from back pain suddenly after my Dad started his cancer treatment. I asked her what she thought had changed & other than the stress of it she said it was because she had stopped yoga - I suggested she make time for it again & her pain subsided #physiotalk

physiotalk @physiotalkQ3
As physios how can we raise the profile of our role as physical activity champions to help system reform and improve the nations health?
#PhysioTalk

Sally Kennedy @Sallylk@GiseleParnell@physiotalk#physiotalk
I agree, many people have forgotten what being slightly breathless, slightly aching, slightly hungry is actually like and that these sensations and emotions are not necessarily bad!

Jane Clarke @janeclarkeyWe discuss the older population but the 30-50year old desk workers are at high risk of health problems as they literally do under 3000steps a day.
This is a large population that requires a workforce/corporate shift in policy. #PhysioTalk

MindyCSP @CspMindyRT @physiotalk: Q3
As physios how can we raise the profile of our role as physical activity champions to help system reform and improve th…

Jane Clarke @janeclarkeyThis is also really true of school children. They often stop when breathless, I have watched this with the daily mile. The same kids stick to the back, frightened of their body sensations. #PhysioTalk
We have to get the message out to children and their parents https://t.co/Kcng0SomYF

Jane Mitchell @Janeomit@physiotalk I think it comes down to the “making every contact count” concept. Address activity at every contact. Also positive role modelling and awareness of what is out there. #physiotalk

Alex MacKenzie @AlexMacKenzie11@physiotalk By making every contact count. Talking to all our patients about activity will reinforce the the idea that we are all about positive activity #PhysioTalk

Helen Robson @HelenRobson19@physiotalk We need to grasp the role and deliver on providing evidence based effective and meaningful exercise / activity programmes to our patients. Our patients are often our best advocates #physiotalk

MindyCSP @CspMindy@AliceClevely@physiotalk Yes starting local is a good place to start. Why not write a letter to the editor of your local paper about the different activities available locally and why its important. Or even do a radio phone in to wake people up in the morning with some stretching exercises #physiotalk

James Armstrong @PhysioArmstrong@physiotalk For me it's leading by example. It helps to have a passion for an activity, a sport, a hobby. Something that makes you smile when you talk about it. A smile and passion is contagious. #physiotalk

Alex MacKenzie @AlexMacKenzie11RT @janeclarkey: This is also really true of school children. They often stop when breathless, I have watched this with the daily mile. The…

MindyCSP @CspMindyRT @janeclarkey: This is also really true of school children. They often stop when breathless, I have watched this with the daily mile. The…

Ian Tyrrell @IanTyrrell5@physiotalk Think we need to take responsibility as clinicians to make every contact count! Think outside the box, engage your patient whatever level they are and encourage our patients to be more active #physiotalk

Christie Robinson @christiephysio@physiotalk On an individual patient basis make every contact count, in our lives set positive examples and in our communities and wider practice think about the bigger picture and how we can influence change in populations #physiotalk

Corinne Birch @PhysioCorinne@physiotalk Q3 talk about activity during every consultation. Promote activity in as many places as possible. I am having a stall at our local fete with details of local health walks, classes, dance groups & cycling clubs & routes. Be aware of what's going on in your local area #physiotalk

Jane Mitchell @JaneomitWe also need to teach Physios to make rehab groups fun, interesting and inspiring as I have observed some really dull ones in my time, some great ones too!! Demedicalise activity #physiotalk

Unity Physiotherapy & Wellbeing @UnityPhysio@JoFallsPhysio@physiotalk Absolutely! I’m going with a stroke patient to an exercise class to give her confidence and help me understand how it is led. Often go to gym with people and walk outdoors #physiotalk

Distinct Physio @distinctphysio@HelenRobson19@physiotalk Can I challenge the ‘evidence based effective exercise’ part of this Helen?
Sometimes we just need to get our patients moving and at times I almost don’t care what they do. I just want them to do something!! Do you mean in relation to pathology? #physiotalk

Tim Powell @tim_powell#PhysioTalk Move MSK physio Department’s in to gyms 😉 but in all seriousness - locally our physio department gyms are too small and poorly kitted out - raise its priority in our treatment hierarchy

Jane Mitchell @Janeomit@physiotalk Really important- we need to look closer to home and support our healthcare colleagues with healthier lifestyles as there is a lot of obesity and exhaustion in healthcare!! I’m a big girl speaking!! #PhysioTalk

Corinne Birch @PhysioCorinne@tim_powell ah but some people hate the gym (me included)...move physios out into the local village halls, parks, schools, it is about health promotion not just rehabilitation #physiotalk

Unity Physiotherapy & Wellbeing @UnityPhysio@physiotalk@Janeomit It’s really important, we have to practice what we are encouraging others to do. Living well takes daily commitment, we need to be doing it! I went on an adapted tai chi course last week, I can’t integrate it unless I practice it which I am & benefits me too #physiotalk

Helen Robson @HelenRobson19@physiotalk Yes I think should be, the more links we can establish with community groups like park run , walking groups etc the better and that way we have lost of options to help guide our patient discussions #physiotalk

Tim Powell @tim_powell@PhysioCorinne#Physiotalk appreciate that - slightly tongue in cheek comment. My main issue is that I think in many Msk settings we don’t place a big enough emphasis on it - given that many departments don’t have space to organise physical activity based treatment

Emma Garratt @Em_Garratt@physiotalk@HelenRobson19 YES! So many local level opportunities as well as national campaigns. Every therapy team should have a central resource of local ways to access exercise which are also accessible to patients - when you look there are loads as well as all the national campaigns #physiotalk

Anna Lowe @annalowephysio@physiotalk I'm on a roll! I'd also like to see more parity between aerobic ex and strength training. The latter often used in short term rehab but not in long term health promotion. Key role for physio here #LoveActivity#physiotalk

Christie Robinson @christiephysioAgree... But be prepared to push and challenge with our goals too. Having something to aspire to and work for can be really motivational. Too often goals are too easy and then fail to inspire... Pts can often surprise us!! #physiotalkhttps://t.co/d4lQz6j70j

Cheryl Kent @CherylKent_10@Janeomit I remember prior to training we would hold falls clinics, balance and frailty groups for patients. Encouraged pt to be more active, and had positive outcomes. Groups were deemed to not be cost effective therefore no longer run #physiotalk

Emma Garratt @Em_Garratt@physiotalk Activity trackers hands down - once you get people engaged with them they can be hooked. Now so cheap and easily available, with loads of great apps to support use #physiotalk

Ian Tyrrell @IanTyrrell5@physiotalk May be a tad oldschool (again my demographic is over 75) but I advocate daily diaries for those struggling with loss of function. Achieve something every day and note your progress. Set targets and get others (loved ones, carers help you achieve them) #physiotalk

Rashida Pickford @rashidapickford@physiotalk Leaflets in patient friendly language and online. These would include local activities available. These could be available in supermarkets, pharmacies, schools etc. #physiotalk

Unity Physiotherapy & Wellbeing @UnityPhysio@physiotalk Setting up community groups in liaison with exercise professionals for people with long-term conditions and then they run them. Not sure how we stand with insurance and competency for that once leave them to run it though #physiotalk

Distinct Physio @distinctphysio@physiotalk@Em_Garratt I had a my zone belt for training but it was getting a bit much!! I had to back up! However I can definitely see the benefits of challenging yourself! You become your own competition and I think that’s healthy. #physiotalk

Hayley Clarke @PhysioHayley@physiotalk So many things! fear, time, funds, lack of access to facilities / groups, habits, perceptions, peers / lack of active role models. Eg our local secondary school is one of the only sports halls on the island and they doubled the cost of hire = most clubs had to close! #physiotalk

Ian Tyrrell @IanTyrrell5@hipsterlife85@physiotalk When I worked on a ward I used to put self directed exercise tick sheets on their tables, got HCA buy in but the patients needed to tick when they did a set, minimum 3 sets per day or they had an angry me to deal with! Often found it was easier to do the exercises! #physiotalk

Hayley Clarke @PhysioHayley@physiotalk Explaining the breadth of what exercise / activity can be. I had a p.t with limited mobility who played darts, we made a goal for him to walk up and get the darts himself from the board rather than letting others do it for him, it’s the little things for some people. #physiotalk

Tim Powell @tim_powell@MelroseStewart1#Physiotalk absolutely need to make it main priority- in Msk is certainly most effective modality yet all too often not the go to one or is not as effectively utilised as could be

Amy Jepson @AmyDolling@physiotalk Let them know that if they give up that particular type of activity, it doesn’t have to be the end. Let people know they have options, and variety of activity is great! #physiotalk

Jane Mitchell @Janeomit@icareimove has developed an online programme that can be delivered by care homes to get groups of residents together and moving and are developing an app where specific programmes can be tailored using the films they have made. It’s the future #physiotalk

Tracey Mains @MainsTracey@physiotalk#physiotalk work on breaking down social isolation Start groups and then once established step back. Give people the chance to meet others with similar interests Like Eden walks post pulmonary rehab

Heather chesshire @Heatherchesshi1#PhysioTalk
Get patients to set their own motivators and help them think about and address barriers which may get in the way

Aimee Robson @AimeeRobson4@physiotalk We must also remember access to care- language/communication & societal. Not every patient likes gadgets (or can read/use). Most important is to find a way they’ve successful changed a #habit to make it part of lifestyle- and what they can use/be motivated/maintain #physiotalk

Tarek Gherbal @TarekGherbal@physiotalk Once they sense the improvement in function and QOL, it keeps their motivation levels high. It helps to set small realistic reachable goals to meet every time, self-empowerment is key
#physiotalk

Hayley Clarke @PhysioHayley@physiotalk Raising awareness of options, Ive suggested walking netball to people who used to love playing netball when younger. People never even knew that existed, yet it’s growing more and more. Knowledge & education for PTs to pass on to p.ts, asking what they’re barriers are #physiotalk

First Physio @first_physio@physiotalk Finding the right activity for the patient is the key, they will not want to stop and will develop and evolve the activity over time. Every patient is different , every contact counts but it can’t be a recipe #LoveActivty#physiotalk

physiotalk @physiotalkQ6
Does encouraging activity have different aspects for people at different phases of their life?
#PhysioTalk

Distinct Physio @distinctphysio@physiotalk I like to ask my patients to report back to me about their journey. Helps with their accountability but they do need to take on responsibility for themselves too! #PhysioTalk

Christie Robinson @christiephysio@physiotalk Different phases of life may present different barriers and facilitators. But we must be careful not to make assumptions related to age /phase of life and PA. Individualisation at every stage is key #physiotalk

Helen Robson @HelenRobson19@physiotalk Yes I think it does but linking back to an earlier comment that’s the importance of listening and also the importance of using our skill set to help make a holistic yet tailored approach to every patient . One size doesn’t fit all #physiotalk

physiotalk @physiotalkOne minute to go in the chat (but don't feel you have to stop after the hour is up!)
So - what is your top tip for promoting activity?
#physiotalk

Ian Tyrrell @IanTyrrell5@physiotalk Of course.Many older people who are socially isolated and don’t have close family yearn to be active but there is just no way for them to do hence mood lowers, deconditioning and dependency increases. It’s about preventing this from happening in hospital and community #physiotalk

elizabethjenn @elizabethjenn@physiotalk#physiotalk really important to recognise the phase they are in and what else is going on in that person's life as it maybe something to unpick to help facilitate that person to start engaging in activity

Christopher Tuckett @HealthPhysio@physiotalk Often simply starting is the biggest hurdle, so then celebrating their achievements and highlighting any gains/improvements can really instill confidence and provide positive reinforcement. #physiotalk#LoveActivity

James Armstrong @PhysioArmstrong@physiotalk "phases of life" shouldn't be mistaken with age. One thing I quickly learnt on placement was that what was in a pt notes talked me very little about the person I would go on to meet. I was very often pleasantly surprised. #PhysioTalk

Fit-tastic 🐝 @fit_tasticYes I find for younger people we have to get parents on board too as sometimes they say their child doesn’t enjoy an activity when what they mean is they don’t!! So have to do things differently with children #physiotalk

Unity Physiotherapy & Wellbeing @UnityPhysio@physiotalk Activity takes on different meanings as our priorities change/ what’s meaningful to us. This change with experiences & learning. A radio presenter said to me we need to tailor things to over 50’s, he had certain assumptions what activities they would do or not #physiotalk

Hannah Ensor @stickmancrips@IanTyrrell5@physiotalk Also many younger people with disabilities /long term conditions. They want to be active, but don't know how to be with their new limitations/symptoms. Physios can help us discover this (inc by linking up with expert patients) #physiotalk

Tarek Gherbal @TarekGherbal@physiotalk Ideally, it has to a response to an environmental stressor: cycling to work, walking to school... until it becomes an active decision to take the stairs instead of the elevator, at any age or level of PA
#PhysioTalk

Hayley Clarke @PhysioHayley@physiotalk REALLY understanding your p.t, dispelling myths, being +be and encouraging, motivational interviewing, remember with some it will be baby steps first, others much more! We have lots of PTs who are also coaches etc, Id love to see more PT led groups/clubs highlighted #physiotalk

Unity Physiotherapy & Wellbeing @UnityPhysio@physiotalk Thank you, going to catch up on what missed. I often can’t make the chats with work, tweetdeck was different since last used, gave up and used Twitter app on iPad instead #physiotalk

Aideen Larmer @AideenPhysio@physiotalk Enabling, signposting and educating are still at the core, but with varying emphasis at different phases - Many older people are under the misconception that PA when you are older gets harder because your body is telling you to slow down when it's quite the opposite! #physiotalk

Unity Physiotherapy & Wellbeing @UnityPhysio@physiotalk Understand what motivates the individual & they need to too, I talk about it like layers of an onion - keep peeling the superficial motivators to find the deep ones & will help keep on track, variability & enjoyment important too #physiotalk

Unity Physiotherapy & Wellbeing @UnityPhysio@physiotalk A big problem is people being inactive due to persistent pain, we need to keep raising the profile of no activity being better than another, it’s safe to move & exercise, posture and pain don’t correlate etc #physiotalk